ESIS Claims Specialist, AGL

Chubb•Cincinnati, OH

About The Position

ESIS is seeking an experienced Auto, General & Liability (AGL) Claim Specialist for its Overland Park, Kansas office. The specialist handles and maintains AGL claims and file reviews under general supervision and as part of the ESIS team. Under the direction of the Claims Team Leader, the role investigates and settles claims promptly, equitably, and within established best-practice guidelines.

Requirements

At least 7 years of claims-handling experience in Auto and General Liability.
Specific state licenses are required; an applicable resident or designated home-state adjuster license is required for ESIS Field Claims Adjusters.
Knowledge of coverages and a good understanding of applicable legal principles and litigation management.
Knowledge of auto liability cost-containment programs and proven account-management skills.
Strong litigation-management skills.
Excellent communication, negotiation, and interpersonal skills to interact effectively with internal and external parties at all organizational levels.
Strong analytical and problem-solving ability.
Demonstrated ability to provide consistent, superior customer service.

Nice To Haves

Experience in a third-party administrator (TPA) environment is strongly preferred.

Responsibilities

Review claim and policy information to establish investigative background and, depending on the line of business, determine the extent of the policy’s obligation to the insured.
Contact, interview, and obtain recorded or in-person statements from insureds, claimants, witnesses, physicians, attorneys, police officers, and others to gather claim information.
Inspect and appraise property damage or arrange for appraisals, depending on the line of business.
Evaluate investigative facts to determine the insured’s liability and the company’s obligations under the policy.
Prepare reports covering investigations, settlements, claim denials, and evaluations of involved parties.
Set reserves within authority limits and recommend reserve changes to the Team Leader.
Review claim progress and status with the Team Leader, discussing problems and possible remedial actions.
Submit unusual or potentially undesirable exposures to the Team Leader.
Assist the Team Leader in developing methods and improvements for claims handling.
Settle claims promptly and equitably.
Manage litigated files by directing defense counsel to pursue the best possible outcomes.
Obtain releases, proofs of loss, or compensation agreements and issue company drafts for claim payments.
Inform claimants, insureds, customers, or attorneys when a claim is denied.